| A case of malignant pericardial mesothelioma misdiagnosed as tuberculosis pericarditis |
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Iksung Cho, Eun-Ju Chun, Ki-Hyun Jeon, Woo-Hyun Lim, Kyoung-Hee Kim, Si-Hyuck Kang, Hyuk-Jae Chang |
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| 결핵성 심낭 삼출로 오인하여 치료한 심낭 중피종 1예 |
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조익성, 전은주, 전기현, 임우현, 김경희, 강시혁, 장혁재 |
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| Abstract |
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Primary pericardial mesothelioma is an extremely rare neoplasm with a bleak prognosis. It is often misdiagnosed as constrictive
pericarditis initially, especially as tuberculosis pericarditis in Korea due to the high incidence of active tuberculosis. A targeted pericardial
biopsy and noninvasive imaging modalities, such as delayed phase contrast chest computed tomography (CT) images and
magnetic resonance imaging (MRI), can play an important role in the differential diagnosis of pericardial disease. We present the
case of a 37-year-old man with a 3-week history of exertional dyspnea. A large pericardial effusion with pericardial thickening was
noted, but its etiology was not revealed after conventional diagnostic procedures, including a closed pericardial biopsy. Empirical
antituberculosis treatment was started, but the dyspnea recurred 5 months later. A malignant pericardial mesothelioma was diagnosed
through a pericardiectomy and biopsy under direct visualization. (Korean J Med 76:S81-S86, 2009) |
| Key Words:
Mesothelioma; Pericardial effusion; Tuberculous pericarditis |
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